| NPI | 1750522215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN GANGEL Director 813-964-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 1076) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-03-13 |